Gynecomastia | Male Breast Reduction

GYNECOMASTIA

Gynecomastia is a medical condition affecting many men today. This is a common condition affecting up to 20% of adolescent males. In this condition, breast tissue develops and can enlarge into a significant mammary shape that has a feminine form. In most cases, the breast tissue is entirely normal and does not pose a risk to the affected individual’s physical health. However, the psychosocial impact necessitates this condition be taken seriously. Unfortunately, many misconceptions and unproven nonsurgical treatments are promoted. At AestheticaMD, we understand the importance of this condition.

A classification of the severity of gynecomastia

Dr. Chen Lee, a board certified plastic surgeon, safely and effectively manages this condition with surgical male breast reduction. Your breast tissue is removed using a customized surgical plan to restore an aesthetic male form to your chest.

Why did this happen?

Whether you are a woman or man, all humans are born with mammary (breast) tissue. Mammary tissue is hormonally sensitive. The breast is especially sensitive to the normal hormonal changes that take place during puberty. 

In females, estrogen stimulates the growth of this specialized mammary tissue to develop and grow into a breast form associated with feminity. During a woman’s life, many factors (pregnancy, age, disease) will affect the breast size, shape, symmetry, nipple and areolar dimensions. 

Anatomical illustration of gynecomastia

Similarly, mammary tissue in males will also undergo changes during puberty. In general, estrogen levels are lower in males and mammary development usually does not exceed beyond the pigmented skin of the areola surrounding the nipple. For unknown reasons, many men have continued development of their breasts. If you are a man, progressive growth of your mammary tissue into a feminine breast form is one of the most common and distressing life events. This is medically known as developmental gynecomastia. In the vast majority of these cases, there is no identifiable cause for male breast enlargement. Special medical investigations are not necessary with this common form of gynecomastia.

Breast development in preadolescent children is abnormal and should be medically investigated. Diseases of the pituitary gland or testes may cause prepubescent breast development. Similarly, adult men who develop gynecomastia should be medically assessed for hormonal imbalances caused by recreational drug use (marijuana), medications, illness, or endocrine dysfunction. When breast enlargement in a man takes place only in one breast (unilateral), a more urgent and thorough evaluation to rule out male breast cancer is warranted. 

Fortunately, developmental gynecomastia is well managed with male breast reduction. Dr. Chen Lee understands that male breast reduction to treat gynecomastia requires attention to detail. To yield the best possible cosmetic outcome, he will design an individualized surgical plan based on your unique degree of mammary excess.

Regain confidence with male breast reduction to treat gynecomastia

Gynecomastia Treatment Options

Nonsurgical treatments such as exercise to build the pectoral muscles, special diets, and skin creams do not work.

If a medical reason for the gynecomastia is identified, then treatment of the underlying health problem may be sufficient to treat the gynecomastia. However, the vast majority of adult men affected with gynecomastia will require surgery.

Dr. Chen Lee will customize a surgical plan (liposuction, incisions, excisions) to achieve a male breast reduction that has the aesthetic male form. The plastic surgery techniques for treating gynecomastia are varied and are selected based on the individual’s needs.

Male breast reduction may involve excision of the excess breast gland, fat, skin, or any combination of the three.

Skin quality and quantity are important when choosing surgical techniques. When the breast enlargement is associated with minimal skin excess and good elasticity, techniques with minimal scars are possible. The skin envelope of the breast will contract and shrink after surgical removal of the excess breast tissue. Liposuction is the treatment of choice when breast fat is the predominant form of gynecomastia. However, excess breast gland and fat usually necessitate a combination of liposuction with direct gland removal through small breast incisions.

More extreme cases of gynecomastia are unfortunately associated with excessive inelastic skin. To achieve a masculine chest contour, these cases may require additional skin excisions with visible scars. Excisions to achieve skin reduction are typically planned so that the resulting breast scars are located around the areola and at the infra-mammary crease.

What to expect after male breast reduction?

After male breast reduction, small drainage tubes are often placed for a short duration following surgery. The drains are usually removed in the office three or four days after the procedure. After surgery, a compressive vest is worn 2 to 6 weeks.

Return to work is often possible three to five days after male breast reduction. Depending on the magnitude of surgery it may be possible to commence exercise and fitness regiments 1-2 weeks following surgery.

Male breast reduction can greatly change your life. No more hiding under baggy clothes. It is liberating to be able to remove your shirt in the locker room, to go swimming, or bare your chest on the beach.

Compression garments and care after male breast reduction

Gynecomastia: A low-risk surgical procedure

Aesthetic masculine male chest

By following the instructions given by Dr. Chen Lee during your consultation, the risks of complications following gynecomastia surgery are diminished.


Below is a list of some basic recommendations:
– shower with an antibacterial gel (spectro-gel) the day before, the morning of surgery and during convalescence
– stopping smoking, alcohol, and all street drugs
– cease medications that increase bleeding such as Aspirin, Advil, etc.
– rest after the intervention
– wear a compression vest after surgery

The main risk is bleeding, which will be prevented by meticulous hemostasis and wearing a compression garment for a few days.
The risk of infection is low (treated with local care and antibiotics). In case of infection, an antibiotic prescription usually stops the infection.
On average, scars take 6 months to 1 year to become less visible. In rare cases, they can become hypertrophic or keloids, this complication is mostly observed on black skin. Treatment with corticosteroid injections may then be necessary to stop the phenomenon.
During your consultation, Dr. Chen Lee will answer all your questions or concerns about complications. You also leave with written consent indicating all possible risks.

Testimonials and Reviews

What Dr. Lee's patients are saying after male breast reduction surgery

5/5

Translated from French: Several months ago I was operated on by the doctor because of gynecomastia caused by a hormonal imbalance dating back to my adolescence. From our first meeting, the doctor gave me confidence and won my trust. He was very attentive and understanding of my situation. I never tried to exploit my insecurities, nor push to have the surgery performed to simply make money. Instead, he explained that surgical treatment was an option but an alternative would be to continue to conceal the gynecomastia with clothing as my case was not severe. With this understanding, I elected to proceed with surgery. The results have greatly exceeded my expectations! Currently, I am 6 months post operation following surgical excision of the excess gland of the breast. I have no visible scars at the incision sites. I have no irregularities or crevices, creases or crater deformities. In short, it’s as if I had never been on the operating table. Yet now find pleasing masculine lines of my pectoral muscles. In summary, Dr. Lee treated me with great respect, empathy, and professional integrity. One could say he treats his patients like family. Most importantly he has eyes and hands of an artist without equal! I recommend him unequivocally to all men suffering from gynecomastia. Especially those who are hesitant to seek a surgical remedy.

Original Testimonial: Il y a plusieurs mois j’ai été opéré par le docteur pour cause de gynécomastie engendrée par un déséquilibre hormonal datant de l’adolescence. Dès notre première rencontre le docteur m’a fait bonne impression et a gagné ma confiance. Il fût très attentif et compréhensif a ma situation et je n’ai jamais senti qu’il ait tenté d’exploiter le complexe que j’avais a propos de mon torse afin de faire plus d’argent puisqu’il m’a expliqué que mon cas n’étais pas extrême et pouvait facilement être dissimulé. Il a toutefois compris que j’y tenais à cœur et nous sommes alors convenus de la procédure à suivre ainsi que de mes attentes et il les a largement dépassées! Six mois après la chirurgie visant à retirer l’excès de glande hypertrophiée j’e n’ai plus aucune cicatrice visible aux sites d’incisions, je n’ai aucune irrégularité ni crevasse, pli ou déformation en cratère. Bref, c’est comme si je n’étais jamais passé sur la table d’opération mais je retrouve un aspect et des lignes beaucoup plus solides et masculines à mes pectoraux. En somme, je finirais par dire que le docteur Lee m’a traité avec beaucoup de respect, d’empathie pour mon cas et d’intégrité professionnelle, au point où l’ont pourrais dire qu’il traite ses patients comme de la famille. À cela ajoutez qu’il a vraiment l’œil et la main d’un artiste sans égal! Je le recommanderais à tous les hommes qui souffrent de gynécomastie et qui hésitent à passer à l’acte.

5/5

Translated from French: I had moderate gynecomastia since adolescence and I made the decision to have surgery. Dr. Chen Lee is an exceptional doctor. He is both professional and very human. He sees his clients like family and approaches them with great respect and understanding. During my consultation, he explained all the details concerning the surgery (pre-surgery, the day of surgery, post-surgery, the expectations, the techniques used, the anticipated outcome expected during ensuing 6 to 12 months following the surgery). My surgery went well and the results were very satisfying. Depending on the size (especially the gland of the breast) and the shape of the gynecomastia, Dr. Lee will always try to minimize the incisions so as not to leave visible scars. In my case, he performed liposuction through the same incisions that were used to excise the breast glands. He had warned me, however, that if he could not pull them out of the same holes, he would have to make two more incisions over the two nipples to remove residual gland if necessary. Fortunately, the doctor did not need to make a second wave of incision, which left me only two small almost invisible scars. He also provided me his cell number to ask questions or voice concerns. He responded quickly to my inquiries. After my surgery, I had text messaged him several questions. He responded without delay to answer my questions. The staff at the clinic are also very warm, kind and respectful. Finally, I would say Dr. Lee is a talented and kind and passionate expert. I recommend him highly. Especially for gynecomastia. He has a wealth of knowledge and experience.

Original Testimonial: J’avais la gynécomastie modéré depuis l’adolescence et j’ai pris la décision de me faire opérer. Dr. Chen Lee est un docteur exceptionnel. Il est à la fois professionnelle et il est très humain. Il considère ses clients comme de la famille et il les approche avec beaucoup de respect et de compréhension. Durant ma consultation, Il m’a expliqué tous les détails concernant la chirurgie (pré-chirurgie, le jour de la chirurgie, post-chirurgie, les attentes, les techniques utilisées, les résultats entendus et probables durant les 6 à 12 mois suivant la chirurgie). Ma chirurgie s’est déroulée très bien et les résultats étaient très satisfaisants. Dépendamment de la grosseur (surtout la grosseur du gland) et de la forme de la gynécomastie, Dr. Lee va toujours essayer de minimiser les incisions afin de ne pas laisser des cicatrices trop visibles. Dans mon cas, il a utilisé la liposuccion et par les mêmes incisions, il a retiré les glandes. Il m’avait toutefois prévenue que s’il n’arrivait pas à les retirer par les mêmes troues, il devrait faire deux autres incisions au-dessus des deux mamelons pour retirer les grands. Heureusement que le docteur n’a pas eu besoin de faire une deuxième vague d’incision, ce qui m’a laissé que deux petits cicatrices presque invisibles. On peut lui contacter n’importe quand à son numéro de cellulaire afin de poser des questions ou pour faire part des inquiétudes. De plus, il répond rapidement aux messages textes. Après ma chirurgie, je lui avais texter quelques questions et il m’avait rappelé tout de suite pour répondre à mes questions. Les personnelles de la clinique sont aussi très chaleureuses, gentilles et respectueuses. Pour finir, je dirais que Dr. Lee est un expert talentueux et très gentil et passionné. Je vous le recommande fortement. Surtout pour la gynécomastie, il a beaucoup de connaissance et d’expériences.

5/5

Translated from French: I consulted Dr. Chen Lee for gynecomastia that had troubled me for many years. He was very thorough, taking great time and energy to explain the possible treatment options and their associated risks. He advised me to weight the risks versus the benefits in making a choice as to surgery, despite risking the loss of potential income. I chose to have the surgery. As an attestation to Dr. Chen Lee’s professionalism, my surgery was without problems and results meet my expectations. I highly recommend him!

Original Testimonial: J’ai consulté le Dr. Chen Lee pour une gynécomastie qui m’incommodait depuis plusieurs années. Il fut d’une grande générosité en prenant soigneusement le temps de m’exposer les options possibles et les risques associés. Il m’a conseillé de réfléchir au bien-fondé de la procédure, préférant perdre un client potentiel plutôt que d’opter pour la mauvaise solution. Les résultats furent quant à eux à la hauteur de mes attentes avec une absence totale de complications, témoignant sans aucun doute du professionnalisme du Dr. Chen Lee. Je le recommande chaudement!

5/5

Amazing Plastic Surgeon!

I’ve been dealing with minor puffy nipples for several years now and was always too shy to visit a plastic surgeon. During my consultation, Dr. Lee made me very at ease discussing in depth about the realistic results and risks associated with bilateral gland excision. It’s been a few weeks now since I’ve had the procedure and I am quite happy with the results! I highly recommend Dr. Lee for this kind of surgical procedure.

Before and After Male Breast Reduction

Before and after frontal images in gynecomastia patient treated with male breast reduction
FAQ's about gynecomastia and male breast reduction surgery at Plastic Surgery Montreal

What is the difference between "fatty" and "glandular" gynecomastia?

Gynecomastia refers to the external appearance of a feminine breast in a man. The biologic tissue composition of the excess volume of the breast consists of a combination of mammary gland and fat. 

“Glandular” gynecomastia refers to a man with a feminine breast form composed predominantly of mammary gland tissue. Excess of breast gland is always associated with a stimulus or sensitivity of the mammary tissue to steroid hormones. The excess gland is anatomically attached and centered on the nipple of the breast. Clinically, a glandular breast is firm and inelastic and does not respond to liposuction. “Glandular” gynecomastia always necessitates surgical excision of the excess tissue.

“Fatty” gynecomastia is caused principally by an excess of fat within an affected man’s breast. The causes of “fatty” gynecomastia are more diverse. Hormonal stimulation, obesity, steroids, and medications all may trigger this condition in men. Excess fat is indistinct and diffusely spread throughout the breast and chest. A fatty breast is soft and has cannot be easily distinguished from the adjacent normal tissues. During the examination, a “fatty” breast is often soft and compressible to palpation. Liposuction is an effective and principle procedure used to surgically treat gynecomastia.

A combination of excessive fat and mammary gland is the most common scenario in young men presenting with gynecomastia. Male breast reduction most often requires a combination of liposuction to aspirate fat and direct surgical excision of the gland to effectively reduce breast volume.

When will I see results after male breast reduction?

The result is meaningful and immediate. It will however be necessary to wait a few weeks before appreciating the definitive result the time that the edema is resorbed and that the skin retracts. Very early, we note a much improved physical comfort. It is important to note, however, that the result may not be perfect.

Indeed, if in the presence of pure glandular gynecomastia, the result is definitive, since the removed tissues are not renewed by the body.

However, significant weight gain can lead to recurrence. This gynecomastia is so greasy

Will I have scars after male breast reduction?

The scars of a gynecomastia cure or breast reduction in humans depend on the quality of your skin, your healing and the surgical procedure adopted:
If only liposuction is performed, the scars correspond to the holes where the liposuction cannula was inserted (about 0.5 cm, on the thorax)
If the procedure involves liposuction and exeresis of the mammary gland, the scar will be in a semicircle on the lower part of the areola. It will be little visible.

Are non-surgical treatments for gynecomastia effective?

Non-surgical treatments of gynecomastia have a limited or even nil effect. Be careful before buying products on the internet saying otherwise.

The application of cream generally does not reduce gynecomastia. Fatty gynecomastia appears in case of obesity. Thus, weight loss can decrease fat-like gynecomastia but not glandular gynecomastia.
Surgery remains the only effective solution in the majority of cases.

What causes of gynecomastia?

Gynecomastia can occur spontaneously at puberty and eventually disappear. However, it often happens that this problem persists.
Sometimes male breast overdevelopment is a side effect of a problem in the liver or thyroid gland. Tumors of the adrenal gland or testes can also cause abnormal volume of the male chest. Only surgery of a cosmetic nature can correct a gynecomastia.

Is male breast reduction surgery painful?

The operative course of gynecomastia is usually painless, edema and bruising may have occurred. They are resorbed quickly. You may feel aches.
If during the surgery there was a removal of mammary gland to correct the glandular hypertrophy in addition to liposuction to remove excess fat (adipose tissue), the after-effects can be a little more painful but quickly attenuated by the medications prescribed by Dr. Chen Lee. Pains and discomfort gradually fade after a few days.

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